Ngezinye izikhathi isihlakala sakho sibuhlungu nje, akunjalo? Kufana nokuklwebheka. Iningi labantu licabanga ukuthi ukuklwebheka okuncane okuzophela ezinsukwini ezimbalwa. Kodwa ngezinye izikhathi kuba nembangela engathi sína ngemuva kwalokhu buhlungu. Isifo sikaKienböck siyisimo esingavamile kodwa esibalulekile okufanele usiqaphele. Leli gama lingase libe lisha kuwe, kodwa kubalulekile ukuliqaphela.
Kalula nje, siyini isifo sikaKienböck?
Kulungile, ake sikuchaze kalula lokhu. Isandla sakho sakhiwe ngamathambo amancane, okungukuthi, amathambo ayisishiyagalombili ahlangene. Siwabiza ngokuthi `(amathambo eCarpal)` . Phakathi kwala mathambo ayisishiyagalombili, kukhona ithambo elincane elibunjwe njengenyanga ecwebezelayo, phakathi nendawo. Yilokhu odokotela abakubiza ngokuthi ithambo `((Lunate)` . Leli thambo `(Lunate)` lisiza kakhulu ekugobeni nasekujikelezeni kahle isandla sethu.
Isifo sikaKienböck yisimo lapho ukuphakelwa kwegazi ethanjeni le-lunate kuncipha kancane kancane futhi ekugcineni kuyeke. Njengoba nje isihlahla sifa ngaphandle kwamanzi, leli thambo liyafa kancane kancane ngaphandle kwegazi. Kwezokwelapha, lokhu kubizwa ngokuthi i-osteonecrosis . Lokhu akwenzeki ngokuzumayo, kodwa kuya ngokuya kuba kubi ngokuhamba kwesikhathi. Ngezinye izikhathi, lokhu kungaholela ngisho nasezimweni ezifana ne -arthritis esihlakaleni.
Ubani onamathuba amaningi okuthuthukisa lokhu? Yiziphi izimbangela?
Nakuba lesi sifo singavela kunoma yimuphi ubudala, ngokuvamile sivame kakhulu kwabesilisa abaneminyaka ephakathi kuka-20 no-40. Kodwa-ke, lokhu akusho ukuthi abesifazane abakwazi ukusithola.
Akukaqiniseki ngokuphelele ukuthi yini ebangela ukuthi igazi eliya ku-lunate linciphe. Kodwa-ke, kunezici eziningana okucatshangwa ukuthi zinegalelo kulokhu:
- Izinkinga ngemithambo yegazi ehambisa igazi emathanjeni: Abanye abantu bazalwa benokukhubazeka endleleni imithambo yegazi ehambisa igazi ethanjeni elithi "Lunate" ebekwe ngayo. Ezimweni ezinjalo, kunethuba elikhulu lokuncipha kokunikezwa kwegazi. Ochwepheshe bakholelwa ukuthi lena yimbangela eyinhloko.
- Ukulimala esihlakaleni: Kungenzeka ukuthi uwile, ube sengozini yemoto, noma ulimele kakhulu esihlakaleni sakho ngenkathi udlala imidlalo. Lokhu kungenzeka uma ithambo le-lunate lonakele futhi ukugeleza kwegazi kunqamuka, okubangela lesi simo.
- Ukwehluka kobude bamathambo esandleni: Kunamathambo amabili amakhulu engxenyeni engezansi yesandla sethu, i-radius kanye ne-ulna . Kwabanye abantu, la mathambo amabili awalingani ngobude. Elinye lifushane kancane kunelinye. Uma lokhu kwenzeka, ingcindezi engavamile ibekwa ethanjeni le-lunate lapho isihlakala sihamba. Ngokuhamba kwesikhathi, le ngcindezi ingalimaza ithambo futhi iphazamise ukuhamba kwegazi.
- Ezinye izimo zezokwelapha:Abantu abanezifo ezihlobene negazi njenge-"Sickle cell anemia" kanye ne-"Lupus", kanye nalabo abanezifo ezithile zezinzwa njenge-"Cerebral palsy" basengozini yokuthola isifo sikaKienböck.
Ziyini izimpawu zalesi sifo?
Esikhathini esiningi, azikho izimpawu ezinkulu ezigabeni zokuqala zalesi sifo. Abanye abantu bangase bangabi nazo nhlobo izimpawu. Kodwa kunezimpawu ezivamile ezibonakala. Ake sibone ukuthi ziyini.
| Isibonakaliso | Kuzwakala kanjani lokho? |
|---|---|
| Ubuhlungu besihlakala | Kufana nobuhlungu besihlakala esiphukile. Kungaba ubuhlungu obuncane obufika buphinde buphele ngezinye izikhathi, noma kungaba ubuhlungu obuhlala njalo, obubukhali. |
| Ukuvuvukala nokuqina | Isihlakala sami sibukeka sivuvukele. Uma ngivuka ekuseni, sizwakala siqinile futhi kunzima ukugoba. |
| Ubunzima bokubamba (ukubamba okubuthakathaka) | Izandla zami zizizwa zibuthakathaka uma ngenza izinto ezifana nokuvula isivalo sebhodlela lamanzi noma ukujika insimbi yomnyango. Izingalo zami ziyabuhlungu uma ngiphakamisa into esindayo. |
| Ukuvinjelwa kokunyakaza | Awukwazi ukugoba isihlakala sakho phezulu naphansi noma ohlangothini nohlangothi kalula njengoba wawusenza ngaphambili. |
| Ukudala | Uma ushukumisa isihlakala sakho, senza umsindo 'wokuqhekeka', njengokungathi amathambo ayagaya ngaphakathi. |
| Ubuhlungu endaweni ethile | Ngizwa ubuhlungu uma ngicindezela umunwe wami phezulu esihlakaleni sami, khona kanye phakathi (lapho kukhona khona ithambo le-lunate). |
Into ebaluleke kakhulu ukuthi, uma uzwa ubuhlungu obunje, ungabunaki, ucabange ukuthi, "Kumane nje kuyisihibe." Ikakhulukazi uma ubuhlungu bungapheli ngemva kwesonto noma amabili, kufanele nakanjani ubone udokotela.
Udokotela usithola kanjani lesi sifo?
Uma uya kudokotela, uzokubuza ngobuhlungu, ukuthi sebuhlale isikhathi esingakanani, nokuthi buqala nini ukuba bubi kakhulu. Ngemuva kwalokho uzohlola isihlakala sakho. Kuzodingeka enze izivivinyo eziningana ukuqinisekisa ukuthi uphethwe yini.
- Ukuhlolwa kwe-X-ray: Into yokuqala okufanele uyenze i-X-ray. Kodwa-ke, ezigabeni zokuqala zesifo, i-X-ray ingase ingakhombisi umehluko omkhulu.
- I-MRI Scan: Lena yindlela engcono kakhulu yokuthola lesi sifo. I-MRI scan ingabona esigabeni sokuqala ukuthi ithambo elithi "Lunate" liyopha noma cha, nokuthi ithambo seliqalile ukufa.
- I-CT scan: I-CT scan ingasiza ekuboniseni ngokucacile ukuthi ithambo liphukile noma liqhekekile.
- Ukuskena Kwamathambo: Lokhu kungabheka ukusebenza kwamathambo emzimbeni.
Izigaba ezine zesifo sikaKienböck
Ngemva kwalezi zivivinyo, udokotela uzokutshela ukuthi isifo sakho sikusiphi isigaba. Kunezigaba ezine eziyinhloko.
| Isiteji | Kwenzekani kulesi sigaba? |
|---|---|
| Isigaba 1 | Lesi yisikhathi sokuqala. Ubuhlungu buzwakala sengathi isihlakala siphukile. Akukho mehluko ku-X-ray. Kodwa uma ububheka nge-MRI, ungabona ukuthi ukugeleza kwegazi ethanjeni `(Lunate)` kunciphile. |
| Isigaba sesi-2 | Ngenxa yokuntuleka kwegazi, ithambo liqala ukuqina njengedwala. Lokhu kubizwa ngokuthi "i-sclerosis" . Ku-X-ray, ithambo libonakala limhlophe kunamanye. Ubuhlungu buyanda kancane. |
| Isigaba 3 | Ithambo eliqinile manje seliphuka futhi liqala ukuphuka libe yizicucu. Lokhu kungabangela ukuthi amanye amathambo esihlakaleni asuke kancane lapho ayekhona. Ubuhlungu buyanda, amandla esandleni ayancipha, futhi kuba nzima ukugoba isihlakala. |
| Isigaba 4 | Lesi yisimo esibi kakhulu. Ithambo le-lunate licishe liphuke ngokuphelele futhi liphuke. Akukhona lokho kuphela, kodwa namanye amathambo azungezile nawo aqala ukuguga. Ilunga lesihlakala ngokwalo lonakele, futhi kuvela isifo samathambo . |
Kungathatha abanye abantu izinyanga ezimbalwa ukusuka esigabeni 1 kuya kwesesine. Kwabanye, kungathatha iminyaka.
Yiziphi izindlela zokwelapha lokhu?
Nakuba kungekho ikhambi elilodwa lalesi sifo, ukwelashwa kwamanje kungasiza ekunciphiseni ubuhlungu, kuthuthukise ukusebenza kwesandla, futhi kumise lesi sifo ukuthi singabi sibi kakhulu. Ukwelashwa kuncike ezintweni eziningi, okuhlanganisa isigaba sesifo sakho, iminyaka yakho, kanye nomsebenzi wakho.
Ukwelashwa ngaphandle kokuhlinzwa
Lokhu kuvame ukwenziwa ekuqaleni kwesifo.
- Ukumiswa kwengalo: Ingalo ayishukumi ifakelwe ukhonkolo izinyanga eziningana. Lokhu kuphumula ngezinye izikhathi kungasiza ithambo ukuthi liphinde lithole igazi eliningi.
- Ama-Painkiller: Udokotela wakho angase ancome imithi yokulwa nokuvuvukala efana ne-ibuprofen ukunciphisa ubuhlungu nokuvuvukala. Kodwa khumbula, le mithi ayifanele abantu abane-asthma, izilonda zesisu, umfutho wegazi ophakeme, isifo sezinso noma senhliziyo. Ngakho-ke , ungalokothi uthathe le mithi ngaphandle kokubonisana nodokotela.
- Ukwelashwa Kwemisebenzi: Uchwepheshe wezokwelapha uzokufundisa indlela yokwenza imisebenzi yansuku zonke ngendlela enciphisa ubuhlungu besandla.
Ukwelashwa ngokuhlinzwa
Uma isifo sibi kakhulu, noma uma ezinye izindlela zokwelapha zingasizi, udokotela angase ancome ukuhlinzwa. Uhlobo lokuhlinzwa oluzokwenziwa luzohluka kuye ngesigaba sesifo.
| Igama lokuhlinzwa | Kalula nje, yilokhu okwenzekayo... |
|---|---|
| Ukulinganisa Amalunga | Uma ubude bamathambo amabili engalweni, ``Radius'' kanye ``Ulna'', buhlukile, kwenziwa ukuhlinzwa ukuze kulinganiswe ubude bawo. Ingxenye encane yethambo ixhunyelelwa ethanjeni elifushane ukuze ilulwe, noma ingxenye encane inqunywe ethanjeni elide ukuze ilufinyeze. Lokhu kunciphisa ingcindezi ethanjeni ``Lunate''. |
| Ukuvuselelwa kwemithambo yegazi | Lokhu kuhilela ukubuyisela ukuhlinzekwa kwegazi ethanjeni le-lunate. Ingcezu encane yethambo enomthambo wegazi ithathwa kwenye ingxenye yomzimba (isb., ithanga) bese itshalwa ethanjeni le-lunate elifayo. Lokhu kungenziwa kuphela ezigabeni ezimbili zokuqala zesifo. |
| Ukuhlanganiswa | Uma lesi sifo sibi kakhulu, amathambo amaningana esihlakaleni abekwa ndawonye ukuze kuncishiswe ubuhlungu. Ngezinye izikhathi, uma amathambo esihlakaleni sonke ebekwe ndawonye, isihlakala asikwazi ukugoba, kodwa isandla singajikeleziswa. |
| Ukuhlinzwa Kwe-Proximal Row Carpectomy (PRC) | Uma ithambo le-lunate liphukile ngokuphelele, ithambo kanye namathambo amaningana aseduze kuyasuswa. Lokhu kunciphisa ubuhlungu, kodwa kunciphisa ukunyakaza kwesihlakala. |
| I-Implant Arthroplasty | Kulokhu, ithambo le-``Lunate`` elilimele liyasuswa bese lithathelwa indawo yithambo lokwenziwa (``prosthetic``). |
Kufanele uye nini kudokotela?
Uma lesi sifo sitholakala ngokushesha, ukwelashwa nemiphumela kuzoba ngcono. Ngakho-ke, ungalindi uze ubone izimpawu ezingezansi bese ubona udokotela.
- Uma unenkinga yokuhambisa isihlakala sakho, isandla, noma iminwe.
- Uma kukhona ukubomvu okungajwayelekile esihlakaleni.
- Uma ukuvuvukala kuba kubi kakhulu.
- Uma kukhona ubuhlungu obungabekezeleleki .
Udokotela wakho uzokudlulisela kuchwepheshe kulokhu, okungukuthi udokotela wamathambo .
Umlayezo Wokuya Nawe Ekhaya
- Isifo sikaKienböck yisimo esingavamile lapho igazi eliya ethanjeni elincane esihlakaleni sakho elibizwa ngokuthi i-lunate linqamuka, okubangela ukuba life kancane kancane.
- Uphawu lokuqala lungaba ubuhlungu obuzwakala sengathi isihlakala siphukile. Ngakho-ke uma unobuhlungu obuqhubekayo kanje, ungabunaki.
- Lesi sifo siya ngokuya siba sibi kakhulu ngokuhamba kwesikhathi. Uma singelashwa, ubuhlungu bungakhula futhi isandla singase singanyakazi nhlobo.
- Imiphumela yakho izoncika kakhulu ekutheni usheshe kangakanani ukubona lesi sifo bese uqala ukwelashwa.
- Khuluma nodokotela wakho ukuze unqume ukuthi iyiphi indlela yokwelapha engcono kakhulu kuwe.
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